Nipple Necrosis After Nipple-Sparing Mastectomy | Dr. Daniel Gould

Dr. Daniel Gould co-authored this research published in the Journal of Clinical Oncology, examining the surgical techniques, biomaterials, and patient characteristics that may influence the risk of nipple necrosis following nipple-sparing mastectomy.

Nipple-sparing mastectomy can be used in selected patients with early-stage breast cancer or those at elevated risk for developing breast cancer. By preserving the nipple-areola complex, the procedure can support a more natural appearance following breast reconstruction, but maintaining adequate blood supply to this tissue is essential.

The researchers evaluated 233 cases of immediate breast reconstruction following mastectomy performed at MD Anderson Cancer Center between 2003 and 2011. Their analysis explored how patient characteristics and surgical factors affected survival of the nipple-areola complex.

The study specifically investigated factors that could compromise blood flow and contribute to partial or complete nipple necrosis. It also compared complications associated with nipple-sparing mastectomy with those seen following skin-sparing mastectomy.

The research contributes to a better understanding of how surgical planning, technique, and patient selection can influence outcomes following nipple-sparing mastectomy, helping surgeons identify approaches that prioritize both tissue preservation and patient safety.